Provider Demographics
NPI:1205845450
Name:MORGAN, DWIGHT EDWIN (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:EDWIN
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
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Mailing Address - Street 1:1401 HIGHWAY 360
Mailing Address - Street 2:# 1333
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-5234
Mailing Address - Country:US
Mailing Address - Phone:214-542-9092
Mailing Address - Fax:817-282-0331
Practice Address - Street 1:1600 AIRPORT FWY
Practice Address - Street 2:STE. 320
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6850
Practice Address - Country:US
Practice Address - Phone:214-542-9092
Practice Address - Fax:817-282-0331
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX02483101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional